DR. MARLUCE BIBBO (NPI# 1083622658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083622658 |
| Entity Type | Individual |
| Full Name | DR. MARLUCE BIBBO |
| Credential | M.D. |
| Practice Address |
132 S 10th St 2nd Floor, 285k Philadelphia PA 19107-5244 |
| Practice Telephone | 2155035642 |
| Practice Fax Number | 2155034817 |
| Mailing Telephone | 2155035642 |
| Mailing Fax Number | 2155034817 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2015-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZC0500X |
Pathology Specialization: Cytopathology |
MD046632L | PA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD046632L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 001392470 | 05 | |
| PA | 001392470 | 05 |
| Street Address |
132 S 10TH ST 2ND FLOOR, 285K |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275521353 | Charalambos C Solomides | Pathology | 132 S 10th St, Main Building 285k, Philadelphia, PA 19107-5244 | 2005-10-12 |
| 1669003745 | Mysty Chacko | Internal Medicine | 132 S 10th St, Philadelphia, PA 19107-5244 | 2020-01-28 |
| 1801430228 | Kimberly Irene Ward | Physician Assistant | 132 S 10th St, Philadelphia, PA 19107-5244 | 2019-10-29 |
| 1316597073 | Alyssa Angradi | Physician Assistant | 132 S 10th St, Philadelphia, PA 19107-5244 | 2019-09-16 |
| 1790335412 | Sarah Alexandra Ackerman | Nurse Practitioner | 132 S 10th St, Philadelphia, PA 19107-5244 | 2019-09-14 |
| 1972150399 | Danielle Marotta | Nurse Practitioner | 132 S 10th St, Philadelphia, PA 19107-5244 | 2019-08-21 |
| 1649825795 | Methodist Associates In Healthcare, Inc. | Internal Medicine | 132 S 10th St, Philadelphia, PA 19107-5244 | 2019-08-06 |
| 1023672029 | Rahed Mohammed | Student in an Organized Health Care Education/Training Program | 132 S 10th St, Philadelphia, PA 19107-5244 | 2019-04-24 |
| 1265095889 | Ryan Matthew Sutton | Student in an Organized Health Care Education/Training Program | 132 S 10th St, Philadelphia, PA 19107-5244 | 2019-04-18 |
| 1821551706 | Jason Ho | Student in an Organized Health Care Education/Training Program | 132 S 10th St, Philadelphia, PA 19107-5244 | 2019-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427619790 | Madeline Reganis | Pathology | 117 S. 11th Street, 204 Pavilion, Philadelphia, PA 19107-4949 | 2019-06-26 |
| 1043796048 | Zhimin Yuan | Pathology | 125 S 11th St Rm 204, Philadelphia, PA 19107-4949 | 2018-07-13 |
| 1255857223 | Azzam Hammad | Pathology | 245 N 15th St Rm 5110, Philadelphia, PA 19102-1101 | 2017-08-21 |
| 1366964397 | Unknown Sakshi | Pathology | 3509 N Broad St Ste 226a, Philadelphia, PA 19140-4105 | 2017-07-12 |
| 1124549712 | Bushra Nazir | Pathology | 3401 N Broad St Rm Nob248, Philadelphia, PA 19140-5103 | 2017-07-04 |
| 1073041513 | Nikolina Dioufa | Pathology | 3400 N Broad St Ste 840, Philadelphia, PA 19140-5104 | 2017-05-29 |
| 1073040598 | Yaobin Liu | Pathology | 245 N. 15th Street, Ms 435, Philadelphia, PA 19102 | 2017-05-15 |
| 1760915458 | Rosetta Genomics, Inc | Pathology | 3711 Market St Ste 740, Philadelphia, PA 19104-5535 | 2017-04-10 |
| 1629528740 | Jeremy Molligan | Pathology | 918 Spruce St, Apt 9, Philadelphia, PA 19107-6170 | 2016-10-12 |
| 1194067785 | Alvin Pierce Powell | Pathology | 428 W Upsal St, Philadelphia, PA 19119-3647 | 2013-03-21 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.